VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
38,661
AK1,235
AL2,889
AR1,871
AS34
AZ8,705
CA35,970
CO6,875
CT4,675
DC948
DE943
FL19,521
FM3
GA7,642
GU54
HI1,292
IA2,874
ID1,541
IL11,548
IN17,737
KS2,785
KY3,615
LA2,728
MA8,657
MD7,480
ME1,966
MH6
MI10,549
MN7,098
MO5,409
MP12
MS1,449
MT1,461
NC9,055
ND803
NE1,765
NH1,960
NJ9,377
NM2,294
NV2,233
NY19,246
OH11,246
OK2,906
OR4,876
PA13,249
PR1,294
QM1
RI1,312
SC3,356
SD764
TN4,935
TX18,878
UT2,603
VA8,811
VI28
VT1,136
WA8,341
WI6,636
WV1,413
WY508
XB4
XL1
XV2

ID: 1198649
Sex: F
Age: 17
State: UT

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: My daughter is having ticks/twitches. Her head keeps having small jerks. She?s never had this before.

Other Meds: Bupropion, Citalopram, Hydroxozine

Current Illness: None

ID: 1198650
Sex: M
Age: 24
State: FL

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: VASOVAGAL: The patient stated he wasn't "feeling good," he felt very dizzy and his vision was blurry, he was sweating as well. I immediately grabbed another chair and raised his feet above his heart level. He immediately stated that he was "feeling better" and his vision was improving. I then offered him a cold bottle of water. He appeared very stable within a few minutes. We did call 911 as a precaution, they arrived a while later and deemed the patient was stable and their additional services were declined by the patient. I insisted the patient stay and finish the bottle of water. All together I believe the event was about 30 - 35 minutes before leaving. I encouraged the patient to drink plenty of fluids and electrolytes and to take it easy for the rest of the day.

Other Meds: N/A

Current Illness: N/A

ID: 1198651
Sex: F
Age: 17
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: patient under 18 at time of vaccine administration

Other Meds:

Current Illness:

ID: 1198652
Sex: M
Age: 86
State: FL

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: On day 10, after receiving 1st dose of Moderna vaccine ,Rectal hemorrhage during the night and, Bloody stool, Two weeks later, petechiae on stomach and blood on t shirt upon arising.

Other Meds: lasix, baby aspirin colace, coQ10, doxazosin, losartan, NaBicarb, pravastatin senokot tums vitamin C , vitamin D3, pepcid essential zinc

Current Illness: none

ID: 1198653
Sex: M
Age: 36
State: MD

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: pale, light-headed, dizzy, sweating, nauseous

Other Meds:

Current Illness:

ID: 1198654
Sex: M
Age: 27
State: IL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: PT PASSED OUT AFTER 5 MINUTES OF GETTING VACCINE. BLACKED OUT FOR 30 SECONDS, CALL 911, PARAMEDICS TOOK TO HOSPITAL

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1198655
Sex: F
Age: 74
State: MD

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: On Saturday, 04/10/2021 patient reported that she had a swollen leg that first appear with 24 hours of the vaccination which later disappear but reappear again on that day. The ankle area was a little swollen and red, Patient applied benadryl and took tylenol over the weekend, on seeing the patient on Monday 04/12/2021, the swelling and the redness has gone. We told patient to inform us and also refer patient to Doctor if the swelling come back again.

Other Meds: losartan Hctz 50/12.5, tyelenol 500mg

Current Illness: none

ID: 1198656
Sex: F
Age: 29
State: WA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Walnuts, fish, horses, bunnies

Symptom List:

Symptoms: Lightheaded/faint feeling, nausea, diarrhea, headache

Other Meds: Birth control, ibuprofen

Current Illness: None

ID: 1198657
Sex: M
Age: 19
State: FL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaso Vagal reaction

Other Meds:

Current Illness:

ID: 1198658
Sex: M
Age: 27
State: MA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache has lasted for upwards of a day, intermittent nausea, lethargy/feeling tired.

Other Meds: Finasteride 1mg

Current Illness: None

ID: 1198659
Sex: F
Age: 27
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: soreness in injection site, extreme fatigue, chills

Other Meds: none

Current Illness: none

ID: 1198660
Sex: M
Age: 53
State: TX

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: 24 hours after the vaccine my arm started to get sore to a very painful point for over 72 hours where I experimented with sweat, dizziness, and insomnia, after 72 hours the pain when over my body, and I started feeling chest congestion, it remained bad for four more days. 10days after the vaccine I decided to come back to my routinary exercise (bicycle) but the pain in my legs is keeping me from trying. I still feel very tired and sore and I'm seriously concerned about the second dose. I need the advice to know if I should avoid it? Should I go for an anti-bodies test?

Other Meds: C vitamin daily and Acetaminophen 4 pills total within 72 hours after symptoms started

Current Illness: No

ID: 1198661
Sex: F
Age: 16
State: PA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: pt had first immunization , and within seconds pt felt dizzy, and sweaty. was brought to observation room #1. via w/c w/ mother . Pt given crackers and water . vs - 5:09 pm 100/74 79-18- pulse ox 100% 5:14 pm vs 127/76-65-18 pulse ox 100% 5;222PM VS 113/72 -76- 16 PULSE OX 99%. PT FEELING BETTER , VSS , PT REEASED TO MOTHER VIA W/C AND TAKEN TO EXIT .

Other Meds: NONE

Current Illness: NONE

ID: 1198662
Sex: M
Age: 40
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Some allergies to Crab and Lobster. Environmental Allergies such as grass, pollen, pine,

Symptom List:

Symptoms: Heart racing the next day after vaccination. I went for a walk in the park and i noticed my hear rate jumped up to 165bpm on my fitbit for a period of time even though i just began walking. I wasnt running or anything. I was foggy and very jittery. I also experienced the same symptoms today, 4.12.21 while also heading for a short walk. Im an athlete and in great shape and ive never had my heart jump to 165bpm just walking. That would happen normally after a sprint or long run, but not just walking.

Other Meds: Simvastatin 40MG, Omeprazole 40MG, Dymista Nose spray, Sildenafil 100MG, Zyrtec, Tylenol, baby aspirin

Current Illness: none

ID: 1198663
Sex: F
Age: 65
State: NJ

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: pcn, sulfa antibiotic

Symptom List:

Symptoms: patient is reporting a burning sensation through the body. Patient has seen the doctor and is seeing an allergist

Other Meds: n/a

Current Illness: n/a

ID: 1198664
Sex: F
Age: 34
State: VA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the J&J one-dose vaccine on Thursday, April 8, at approx. 1600. Within an hour I had a mild headache and was nauseous. I went to sleep around 2130. At 0030 (or 30 minutes past midnight) I was awoken to the sudden shock of feeling very cold. My temperature was 91, within 15 minutes I spiked to 100 degrees, and then 15 minutes later I was at 102. I was shivering but felt like I was on fire. I had intense pain throughout my entire body. Internally and topically (skin) my entire body felt like it was on fire -- a burning sensation. Clothes -- even a soft hoodie -- felt like a steel wool scrubber was brushing against my skin and my skin was very hot to touch. I continued to feel nauseous. After 90 minutes of this, I was able to take acetaminophen (2 x 500 mg). After another 90 minutes, my temperature dipped to 99 and the horrible pain mostly subsided. From 0530 to 1830, in three-hour increments, my temperature continued to spike and fall between 99-101 degrees and the pain came in the same waves. Nausea continued. So, I continued an acetaminophen regimen throughout the day to help with the symptoms and took a few tums to help too. After 1830, I felt very weak and tired. My temperature stabilized at normal. Nausea continued. On Saturday, April 10, I was mostly just tired and had minor body aches/soreness. My shoulder bruised where I was vaccinated. Food did not sit well and my stomach was quick to turn. Sunday, April 11, mostly back to normal. Although, still fatigued. No major side effects or symptoms. Monday, April 12, seems to be the same as Sunday. Note: I had COVID the first week of February 2021.

Other Meds: Sprintec Claritin Centrum Women

Current Illness: None (COVID - 2 months prior)

ID: 1198665
Sex: F
Age: 50
State: SD

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Latex, vinyl, kiwi, pineapple, chickpeas, avocado, sulfa/Bactrim

Symptom List:

Symptoms: Spleen is quite enlarged, I was informed this is not normal reaction from the Pharmacist I talked to today, two days after vaccination day. ALL my lymph glands/nodes are quite swollen throughout my body!! Temp of 100.4 at its highest yesterday (Sunday, April 11th)! I have not had my spleen enlarge since the 1990's!

Other Meds: Synthroid 112 mcg, Ester C and zinc

Current Illness: none

ID: 1198666
Sex: F
Age: 25
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed a skin reaction below the injection site on arm approximately 2 hours after injection. Skin reddened/developed red dots on arm, and a small welt close to and below the injection site. Reaction otherwise was not severe, lasted approximately an hour, no antihistamine taken. I had applied ice to my arm beforehand.

Other Meds: Vitamins (multivitamin, C, D)

Current Illness: none

ID: 1198667
Sex: F
Age: 0
State: NM

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: seasonal

Symptom List:

Symptoms: Itchy, swelling, redness, pain on area of vaccination. HA started following day, 4/10 and swelling has been worsening.

Other Meds: none

Current Illness: none

ID: 1198668
Sex: M
Age: 32
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: MSG

Symptom List:

Symptoms: Nausea, fatigue, headache, fever, confusion

Other Meds: Protonics

Current Illness: N/A

ID: 1198669
Sex: F
Age: 73
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: urethamycin, bee stings,

Symptom List:

Symptoms: Very achy body. Chills. extreme fatigue. Head aches . Couldn't stay awake felt too bad. tired all day and forced to Slept at least 3 hours in the afternoons. This went on for a good week.

Other Meds: lorsartan 100mg, hydrochlorothiazide 25mg, rosuvastatin 40mg, citalopram 10 mg, amLODIPine 7 1/2 mg , baby aspirin,

Current Illness: none

ID: 1198670
Sex: M
Age: 63
State: IN

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Not known

Symptom List:

Symptoms: After mandatory waiting time of 15 minutes I left the facility, during driving to home I started feeling some sort of dizziness and palpitations. I completed night duty at work, had my last meal at 5 am , I went to bed at 8 am, wake up at 1 pm to go for vaccination, just had water but no food. I turn back to facility and reported, they ask me to sit for some more time, I took water and was feeling better.

Other Meds: Omeprazole delayed release 20 mg oral daily, bisoprolol fumarates 2.5 mg orally every alternate day (for heart palpitations), vitamin D3 25 mcg orally daily, vitamin C 500 my orally daily.

Current Illness: Hand arthritis, hepatic cyst

ID: 1198671
Sex: F
Age: 34
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Vicodin

Symptom List:

Symptoms: 4/8/21: I receive the injection at 1:50pm on my left arm. 8pm: I begin experiencing normal side effects: soreness, body aches, and headache. 9pm: In addition to the soreness, body aches, and headache, I start having chills, which last on and off throughout the night. 4/9/21: 7am: I feel fatigued, with headache and body aches throughout the morning and afternoon. 3pm: I begin to have some itchiness on my forehead and both ears. My right knee cap feels hot and bruised, but there is no mark. 5pm: Visible hives appear on my forehead and right knee cap, and my ears are red. All of these spots are very itchy and uncomfortable. 9pm: The hives begin to be much more noticeable and itchier. I take one Benadryl before going to bed which helps the itchiness somewhat. 4/10/21 3:30am: I am woken up by pain in my ears and they have gotten incredible swollen, red, and hot. They are very tender to the touch. I take another tablet of Benadryl. 7am: There are more hives on my forehead and cheeks, as well as my knee and now on two of my fingers. A few spots also appear on my feet and on one toe. My ears are less swollen but still not back to normal, and they are still red, hot and tender. 9am: I have a video call with a Physician?s Assistant who determines it is most likely not an anaphylactic reaction (no swelling in my throat or eyes or any of the other red flag symptoms. I also take my blood pressure with a home monitor and it is normal). He prescribes me a steroid pack. 12pm: The hives begin to be less and less itchy and red. 8pm: The hives are almost completely gone, save for a few spots on my feet. As I am breastfeeding my 14-month-old daughter, I had waited to begin the steroid pack until after our last nursing session of the day (around 7:30pm). As the hives seemed to be going away on their own, I decide to not take the medication. I do take one dose of Zyrtec. 4/11/21: 7am: the hives are completely gone

Other Meds: None

Current Illness: None

ID: 1198672
Sex: M
Age: 41
State: AZ

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme Nausea and runner vision within 30 seconds of vaccine administration. Symptoms went away on their own

Other Meds: None

Current Illness: None

ID: 1198673
Sex: M
Age: 53
State: TX

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No Known

Symptom List:

Symptoms: Patient felt fine first week after vaccine. On the second week, developed itching to arms and legs. On the third week, developed swelling to upper and/or lower lips that happened off and on 4 times. Self treated with Benadryl. Patient thought might be related to vaccine.

Other Meds: Amlodipine, Vit B-12, Losartan

Current Illness: None

ID: 1198674
Sex: F
Age: 41
State: KS

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Raised red circle around the injection site for the past 13 days, occasionally itchy, some mild joint aches.

Other Meds: N/A

Current Illness: N/A

ID: 1198675
Sex: F
Age: 17
State: NC

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: All nuts - anaphylaxis Shellfish - GI upset

Symptom List:

Symptoms: Anaphylaxis (hives, oropharyngeal swelling, cough, shortness of breath) 20 mins following vaccine administration. Patient given epinephrine at vaccine site 20min after symptom onset with significant improvement in symptoms including improved pharyngeal swelling and resolution of hives. Patient presented to the emergency department 1.5 hours following onset of anaphylaxis with mild cough and mild pharyngeal swelling for observation.

Other Meds: Metformin

Current Illness: None.

ID: 1198676
Sex: F
Age: 35
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Allergic to Levaquin

Symptom List:

Symptoms: Chills, fever, body aches, headache. Chills started around 8:30 PM that night. About an hour and a half later, fever set in. My body felt very hot but I was still cold. Went to bed without taking any pain relief. I woke up at 2 AM, took Tylenol and went back to sleep. I woke up again at 3 AM, felt very hot and turned on my fan. When I woke up in the morning at 7:30 AM, my body still aches and I still had a headache. I took more Tylenol. Headache went away but for the rest of the day I felt very lethargic, a little foggy in my brain, slightly achy. I took Tylenol again when I went to bed at 9 PM and when I woke up at 4 AM the next morning I felt better. All symptoms are gone.

Other Meds: Daily Olly Women?s Multivitamin

Current Illness: None

ID: 1198677
Sex: M
Age: 65
State: CA

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: On day 4 after the first dose, I woke up with a whistling noise in my ears. I never had this condition before. After some research, I learned that Tinnitus is a rare but known side effect primarily for Moderna but also for Pfizer Covid vaccine. The whistling sound is not extremely loud but it's definitely there and has made sleeping at night difficult. Twelve days later, it still there and it's quite bothersome. It gives me pause to take the second dose scheduled for April 29.

Other Meds: Multi vitamins, L-Citrulline, Hawthorne Berries, CoQ10, Turme

Current Illness: None

ID: 1198678
Sex: F
Age: 57
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: morphine, tramedal, lovenox, steroids , z pak

Symptom List:

Symptoms: got a headache and neck ache on same side as shot , started right after, headache lasted 14 days and then lingering , neck ache still there and feels like it went up into my head like brain fog arm hurt really bad for 3 days WILL NOT GET 2ND DOSE

Other Meds: collegen, d3, fish oil, multi vit, zyzal, biotin

Current Illness: none

ID: 1198679
Sex: F
Age: 65
State: AZ

Vax Date: 02/12/2021
Onset Date: 04/06/2021
Rec V Date: 04/12/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was hospitalized for gastroenteritis and adrenal crisis. Thought to be unlikely related to vaccin2 given two months prior.

Other Meds:

Current Illness:

ID: 1198680
Sex: F
Age: 65
State: CA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt has been tried none stop since the day after the injection, and still running a fever, has chills, Sunday she slepted for 24/hr, she has to force her self to get up in the morning, not sure if she wants the 2nd shot,

Other Meds:

Current Illness:

ID: 1198681
Sex: F
Age:
State: IN

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

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Allergies: NKDA

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Symptoms: About 12 to 18 hours after the second Moderno vaccine, I developed a low-grade fever, headache, malaise and eventually the fever rose to 101 with associated fatigue and chills. Loss of appetite also present. With the help of Tylenol and ibuprofen fever resolved at about 31 hours post vaccination.

Other Meds: None

Current Illness: Headache

ID: 1198682
Sex: F
Age: 30
State: MD

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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Allergies: Kiwi

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Symptoms: Tingly sensation and very flushed feeling. Heartbeat began to rise quickly. Could?ve been a panic attack or adverse reaction. Not sure.

Other Meds: 20 mg of Prozac Daily

Current Illness: N/A

ID: 1198683
Sex: F
Age: 39
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Symptoms: Chest Pain, Headache, Dizziness, Blurry Vision; BP 124/65; HR 90, RR 32, O2 100%; Fingerstick 83. Pt observed for ~20 minutes, as per patient symptoms persisit.

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Current Illness:

ID: 1198684
Sex: F
Age: 42
State: NV

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: None

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Symptoms: Weird metallic taste in mouth and slightly odd smell

Other Meds: None

Current Illness: None

ID: 1198685
Sex: F
Age: 58
State: OK

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: Sulfa drugs

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Symptoms: Client in clinic for second dose of Moderna vaccine. Moderna vaccine administered at 13:52. Client reports feeling like "her heart is clenching down" starting at 14:00. Client did not report symptoms to nurse until 14:15. 14:15- Reports pain level 6 out of 10. Denies shortness of breath. Breathing unlabored, and no diaphoresis noted. Chest Pain protocol implemented. Vital signs within normal limits, aspirin administered, and oxygen applied via mask at 8 liters, 911 called. 14:30- Paramedics arrived. EKG obtained. Per Paramedic report: EKG within normal limits, vital signs remain within normal limits. Pain level decreased to 4 out of 10. Client refused to be transported to hospital by ambulance, she stated she would prefer her sister take her if she didn't start to feel better. Paramedics released client to care for self. Client's sister to health department to pick her up. Sister stated she will take client to ER.

Other Meds: Unknown

Current Illness: Reported "tachycardia" after first Moderna vaccine

ID: 1198686
Sex: F
Age: 47
State: NH

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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Symptoms: Woke up 1145pm freezing shivering my whole left side from my neck to my foot was bothering me my left arm is extremely sore all the way to my hand then after freezing I sweat through my pajamas on april 12 7 am I called out of work I was still extremely uncomfortable in pain with headache dizziness nasua weekness neck and body pain throughout my left side and a low grade fever very tired.

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Current Illness:

ID: 1198687
Sex: F
Age: 51
State: GA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Symptoms: After I gave the patient a shot and sat for 15 minutes, she stated that he throat was filling itchy and that she feels "high". I asked her to stay for another 15 minutes so I can watch her but she said she would rather go home while she is feeling a little bit ok. Patient stated that she will take some benadryl once she gets home.

Other Meds:

Current Illness:

ID: 1198688
Sex: F
Age: 81
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/12/2021
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Allergies: Sulfides

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Symptoms: Irregular heart beat after eating. Food/beverage sensitivities, like caffeine, wine, carbonation. Heartburn.

Other Meds: Vitamin B12, Mult Vitamin, Vitamin C 500 mg,

Current Illness: none

ID: 1198689
Sex: M
Age: 39
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Symptoms: Vaccine administered at 1157. Patient reported symptoms at 1202 of dizziness, weakness, vision and hearing impairment. Initial blood pressure noted 84/42. Lead nurse made aware regarding patient status. Repeat blood pressure 69/48 at 1202. Patient symptoms continue. Bp 98/55 at 1206. 1208 patient complaining of chest pressure. 1211 EMS notified regarding patient status. Patient continues dizzy and faint but remains responsive to verbal stimuli and responsive to name. Awaiting EMS. At 1215 patient states he `feels better`.At 1223 EMS arrived and patient cleared at 1233. vs at 1239 BP 139/82, pulse 82, 99% oxygen,and 96.8 temp. 1242 medical director made aware and cleared for discharge. Awaiting patient family (father) to arrive for transfer home. At 1251 patient reports `chest pressure` and `indigestion` VS 78/68 pulse 42 and 100% oxygen. At 1253 repeat VS 101/70 pulse 81. At 1255 patient continues to refuse transfer to hospital but states feeling better and symptoms have resolved. Father at patient side. At 1259 BP 112/77 pulse 51 and oxygen 99%. Patient escorted via wheelchair by lead nurse accompanied by father. Patient instructed to call 911 if symptoms return and verbalized understanding.

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ID: 1198690
Sex: M
Age: 19
State: RI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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Allergies: Amoxicillin (hives), Doxycycline (drug induced lupus)

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Symptoms: Anaphylaxis. Turned gray, diaphoretic, blurred vision, difficulty hearing. Blood pressure quickly dropped to 66/31. Perfusion was 5 seconds. Received EpiPen (0.3mg Epinephrine) x1. BP better but slow to return to baseline. To Emergency Room for 4 hours observation. While in ED, received IV Benadryl and IV Zofran. Condition improved by the end of 4 hour observation so discharged with an EpiPen.

Other Meds: None

Current Illness: None

ID: 1198691
Sex: F
Age: 82
State: CA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital: Y

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Allergies: none indicated

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Symptoms: Left Side Weakness with slurred speech. Started Sunday. Send to hospital. Still in hospital as of this writing (4-12-2021 @ 15:00) Charge nurse admittedly does not know if this is just a coincidence or cause by vaccine

Other Meds: none indicated

Current Illness: none indicated

ID: 1198692
Sex: F
Age: 43
State: MT

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: None.

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Symptoms: Signs/Symptoms: Fainted

Other Meds: None.

Current Illness: None.

ID: 1198693
Sex: F
Age: 73
State: NY

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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Allergies: Sulfur and PCN

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Symptoms: Arm swelling, pain at redness at injection site

Other Meds:

Current Illness: none

ID: 1198694
Sex: F
Age: 34
State: TX

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 04/12/2021
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Allergies: METRONIDAZOLE

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Symptoms: ON FRIDAY, AFTER THE FIRST DOSE OF THE VACCINE, I HAD PAIN ON MY ARM. SATURDAY I PRESENTED FEVER AND TIREDNESS. SUNDAY, TIREDNESS. MONDAY, MARCH 8TH MY TONGUE GOT SWOLLEN FOR THREE DAYS AND IT WAS VERY COMFORTABLE TO TALK, TO SWALLOW AND TO EAT. IBUPROFEN HELPED A LITTLE. ON MARCH 11TH, I HAD HYPERTENSION, MIGRAINE AND ANXIETY SYMPTOMS. SINCE THEN I WENT TO A PSYCHIATRIC AND HAS BEEN TREATED ME. I AM AFRAID OF GETTING THE SECOND DOSE. I HAD COVID ON DECEMBER 20TH OF 2020.

Other Meds: NONE

Current Illness: NONE

ID: 1198695
Sex: M
Age: 31
State:

Vax Date: 04/03/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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Allergies: Some soaps

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Symptoms: Today, 9 days later I have pain in arm, and numbness in my hands on the side where I got my shot. Neck pain and leg pain on the side that I got the shot. Joint pain on the side where I got my shot.. Slight Cough.

Other Meds:

Current Illness: Anxiety, depression

ID: 1198696
Sex: F
Age: 33
State:

Vax Date: 03/30/2021
Onset Date: 04/03/2021
Rec V Date: 04/12/2021
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Allergies: Environmental allergies.

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Symptoms: A few days after receiving first vaccine, began experiencing sporadic episodes of vertigo and dizziness. Symptoms became progressively worse and more consistent until they lasted all day (vertigo, dizziness, exhaustion, light sensitivity). To date, symptoms have not resolved. Attempted stretches to target vertigo, tried antihistamines (benadryl and cetirizine hydrochloride), tried dramamine. None of aforementioned seemed to alleviate symptoms. Still miserable.

Other Meds: Levora (birth control), women's One-A-Day multivitamin.

Current Illness: N/A

ID: 1198697
Sex: F
Age: 18
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/12/2021
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Allergies: n/a

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Symptoms: She felt totally fine after the shot and many hours after. She felt fine to go to a horseback ride lesson at 4. Half way through the lesson she acutely felt like she was going to faint/nauseous (she had a ton to eat that day, had a bottle of water just before lesson, etc. so she knew it wasnt those kinds of things) and then had a crushing headache with a lot of "pressure behind her eyes", dizziness, and a really "strange" feeling like out of body, bawling crying, and started FREEZING. I got there 15 minutes later and she was under lots of blankets, white as a sheet, freezing, said her spine was sore from the top to bottom... just tons of symptoms. When I got her, she moved to my car and had seat heater on high and I had to put all the clothes from a suitcase I had in my car on top of her bc she was so cold and her skin was burning up. I gave her 3 200 advil and a bottle of water. ? hour later i had a thermometer and even after that she still had 102.3 fever. She was rambling some nonsense and seemed very disoriented for a while. She went straight to shower and laid on the floor of the shower for ? hour, took cold medicine, and evnetually went to sleep. In the night she was freezing again and the fever had spiked and she took more advil. The next day she felt much better in the morning and fine by lunchtime. She was VERY sick/uncomfortable with basically every symptom under the sun.

Other Meds: .5 xanax (severe needle phobia) taken at 7:30 a.m. that morning...2 ? hours before the shot. 1 zyrtec and two 200 advils taken at 8 am.

Current Illness: n/a

ID: 1198698
Sex: M
Age: 66
State: IA

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/12/2021
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Allergies: Sulfa

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Symptoms: Patient received his first Pfizer shot on March 20th. He began to have pain in the back of his right knee which sent him to the ED. Upon further investigation, he was found to have a blood clot and was given Eliquis as a blood thinner. His physician requested that he make a report as he received his first COVId shot 8 days prior to the blood clot. He denies any diabetes, chemotherapy that may have irritated his vessels. Gabapentin,

Other Meds: Gabapentin, folic acid, Amylodipine, MVI, Vit E, B complex, Abilify.

Current Illness: None

Total 2021 VAERS Injuries: 357,436

Page last modified: 03 October 2021 5:28pm